Telerehabilitation Robotics for Upper Limb Rehabilitation After STroke

Launched by TAN TOCK SENG HOSPITAL · Feb 14, 2024

Keywords

ClinConnect Summary

This clinical trial is exploring the use of robotic technology to help people recover their arm movement after a stroke. Many stroke survivors experience a decline in their ability to use their affected arm after leaving the hospital because they don’t receive enough therapy at home. The goal of this study is to provide additional support through robotic exercises that can be done at home, helping patients regain their strength and functionality.

To participate in this trial, individuals must be between 21 and 90 years old, have had a stroke at least 28 days prior, and show some level of difficulty with arm movement. They also need to have a stable home environment and someone to assist them during the exercises. Participants can expect to engage in home-based training sessions that involve using robotic devices designed to improve their motor skills. It’s important to note that the study is currently looking for volunteers, and a thorough screening will be conducted to ensure safety and suitability for the program.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Clinical stroke (ischaemic or haemorrhagic) confirmed by admitting doctors and CT, CT angiography or MRI brain imaging.
• • 2. Age 21 to 90 years, both males and females.
• • 3. At least \> 28 days post stroke.
• • 4. Upper limb motor impairment of Fugl-Myer Motor Assessment (FMA) scale 10 to 60
• • 5. Has a stable home abode and a carer/ NOK to supervise home based exercise.
• • 6. Ability to sit supported continuously for 60 minutes.
• • 7. Montreal Cognitive Assessment (MOCA) score \> 21/30
• • 8. Able to understand purpose of research and give consent.
• Exclusion Criteria:
• • 1. Non-stroke related causes of arm motor impairment.
• • 2. Medical conditions incompatible with research participation: uncontrolled medical illnesses (hypertension or diabetes, ischaemic heart disease, congestive heart failure, bronchial asthma, end stage renal/liver/heart/lung failure, unresolved cancers.
• • 3. Anticipated life expectancy of \< 6 months.
• • 4. Inability to tolerate sitting continuously for 60 minutes.
• • 5. Local factors potentially worsened by intensive robot-aided arm therapy and computer-based training: active seizures within 3 months, spasticity of Modified Ashworth Scale grades \>2 skin wounds, shoulder, arm pain VAS \> 5/10, active upper limb fractures, arthritis, fixed upper limb flexion contractures.
• • 6. Hemianesthesia of affected limb.
• • 7. History of dementia, severe depression, agitation, or behavioural problems.
• • 8. Pregnancy or lactation in females
• • 9. Absence of reliable carer to provide supervision during home training